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2775 Park Marina Dr Ste A Redding CA 96001-2840 | |
| (919) 656-3004 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2775 Park Marina Dr Ste A, Redding, California |
| Authorized Official Name and Position | Andy Jeffrey Ingersoll (MANAGER) |
| Authorized Official Contact | 5305791722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3300 N Triumph Blvd Ste 100 Lehi UT 84043-5046 Ph: (801) 494-4949 | 2775 Park Marina Dr Ste A Redding CA 96001-2840 Ph: (919) 656-3004 |
| NPI Number | 1528668746 |
|---|---|
| Provider Enumeration Date | 10/27/2020 |
| Last Update Date | 04/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528668746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Robert L. Dague D.d.s Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2081 Victor Ave., Redding, CA 96002 Phone: 530-222-0939 Fax: 530-222-6017 | |
Marty R. Lipsey, Dds, Ms, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2421 Hartnell Ave, Redding, CA 96002 Phone: 209-527-1995 Fax: 866-527-2335 | |
Castro Dental Group, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2411 Hartnell Ave Ste A, Redding, CA 96002 Phone: 530-244-3500 Fax: 530-244-2807 | |
Craig A. Schlie, Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 405 South Street, Suite A, Redding, CA 96001 Phone: 530-244-6054 Fax: 530-244-6056 | |
Ingersoll Knollcrest Os Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 316 Knollcrest Dr, Redding, CA 96002 Phone: 919-656-3004 |